NPIMap

Organization Active NPI

NP Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Atlanta, GA
National Provider Identifier
1326682899
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NP NEUROPSYCHOLOGY, LLC
Practice address
5775 Peachtree Dunwoody Rd
C-200
Atlanta, GA 30342
Phone
(404) 398-1081
NPI assigned
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ernest Fung, PSYD
Title
Neuropsychologist/Owner
Phone
(404) 398-1081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

5775 Peachtree Dunwoody Rd
C-200
Atlanta, GA 30342

Mailing address

4514 Chamblee Dunwoody Rd
#127
Atlanta, GA 30338-6272
Phone (404) 398-1081

National Provider Directory

National Provider Directory

Locations

4514 Chamblee Dunwoody Rd
#127
Atlanta, GA 30338

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1326682899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 CHAMBLEE DUNWOODY RD",
            "address_2": "#127",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386272",
            "telephone_number": "404-398-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 PEACHTREE DUNWOODY RD",
            "address_2": "C-200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-398-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "404-398-1081",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.